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-6-1仔细阅读

Whentherightpersonisholdingtherightjobattherightmoment,

thatperson,sinfluenceisgreatlyexpanded.Thatisthepositionin

whichJanetYellen,whoisexpectedtobeconfirmedasthenextchair

oftheFederalReserveBank(Fed)inJanuary,nowfindsherself.Ifyou

believe,asmanydo,thatunemploymentisthemajoreconomicandsocial

concernofourday,thenitisnostretchtothinkYellenisthenost

powerfulpersonintheworldrightnow.

Throughoutthefinancialcrisisandtherecessionandrecoverythat

followed,centralbankshavetakenontheroleofstimulatorsoflast

resort,holdinguptheglobaleconomywithvastamountsofmoneyinthe

formofassetbuying.Yellen,previouslyaFedvicechair,wasoneof

theprincipalarchitectsoftheFed's$3.8trillionmoneydump.Astar

economistknownforhergroundbreakingworkonlabormarkets,Yellen

wasakindofprophetessearlyoninthecrisisforherwarningsaoout

thesubprime(次级债)meltdown.NowitwillbeherjobtogettheFed

andthemarketsoutofthebiggestandmostunconventionalmonetary

programinhistorywithoutderai1ingthefragilerecovery.

ThegoodnewsisthatYellen,67,isparticularlywellsuitedtomeet

thesechallenges.Shehasakeenunderstandingoffinancialmarkets,an

appreciationfortheirimperfectionsandastrongbeliefthathuman

sufferingwasmorerelatedtounemploymentthananythingelse.

SomeexpertsworrythatYellenwillbeinclinedtochaseunemployment

totheneglectofinflation.Butwithwagesstillrelativelyflatand

theeconomyincreasinglydividedbetweenthewell-offandthelong-term

unemployed,morepeopleworryabouttheopposite,deflation(通货紧缩)

thatwouldaggravatetheeconomy'sproblems.

Eitherway,theincomingFedchiefwillhavetowalkafinelinein

slowlyendingthestimulus.Ttmustbesteadyenoughtodeflatebubbles

(去泡沫)andbringmarketsbackdowntoearthbutnotsoquickthatit

createsanothercreditcrisis.

UnlikemanypastFedleaders,Yellenisnotonetobuyintothefinance

industry,sargumentthatitshouldbeleftalonetoregulateitself.

SheknowsallalongtheFedhasbeentooslackonregulationoffinance.

Yellenislikelytoaddresstheissuerightaftershepushes

unemploymentbelow6%,stabilizesmarketsandmakessurethatthe

recoveryismoreinclusiveandrobust.AsPrincetonProfessorAlan

Blindersays,"She'ssmartasawhip,deeplylogical,wi11ingtoargue

butalsoagoodlistener.Shecanpersuadewithoutcreatinghostility.〃

Allthosetraitswillbeusefulastheglobaleconomy'snewpDwer

playertakesonitsnostannoyingproblems.

注意:此部分试题请在答题卡2上作答。

56.WhatdomanypeoplethinkisthebiggestproblemfacingJanet

Yellen?

A)Lackofmoney.

B)Subprimecrisis.

C)Unemployment.

D)Socialinstability.

57.WhatdidYellenhelptheFeddototacklethefinancialcrisis?

A)Takeeffectivemeasurestocurbinflation.

B)DeflatethebubblesintheAmericaneconomy.

C)Formulatepoliciestohelpfinancialinstitutions.

D)Pourmoneyintothemarketthroughassetbuying.

58.Whatisagreaterconcernofthegeneralpublic?

A)Recession.B)Deflation.C)Inequality.D)Income.

59.WhatisYellenlikelytodoinherpositionastheFedchief?

A)Developanewmonetaryprogram.B)Restorepublicconfidence.

C)Tightenfinancialregulation.D)Reformthecreditsystem.

60.HowdoesAlanBlinderportrayYellen?

A)Shepossessesstrongpersuasivepower.

C)Sheisoneoftheworld'sgreatesteconomists.

B)Shehasconfidenceinwhatsheisdoing.

D)SheisthemostpowerfulFedchiefinhistory.

PassageTwo

Questions61to65arebasedonthefollowingpassage.

Airpollutionisdeterioratinginmanyplacesaroundtheworld.The

factthatpublicparksincitiesbecomecrowdedassoonasthesun

shinesprovesthatpeoplelongtobreatheingreen,openspaces.They

donotallknowwhattheyareseekingbuttheyflockthere,

nevertheless.And,inthesesurroundings,theyaregenerallyboth

peacefulandpeaceable.Itisraretoseepeoplefightinginagarden.

Perhapsstruggleunfoldsfirst,notataneconomicorsociallevel,but

overtheappropriationofair,essentialtolifeitself.Ifhuman

beingscanbreatheandshareair,theydon'tneedtostrugglewithone

another.

Unfortunately,inourwesterntradition,neithermaterialistnor

idealisttheoreticiansgiveenoughconsiderationtothisbasic

conditionforlife.Asforpoliticians,despiteproposingcurbson

environmentalpollution,theyhavenotyetcalledforittobemadea

crime.Wealthycountriesareevenallowedtopolluteiftheypayforit.

Butisourlifeworthanythingotherthanmoney?Theplantworldshows

usinsilencewhatfaithfulnesstolifeconsistsof.Italsohelpsus

toanewbeginning,urgingustocareforourbreath,notonlyata

vitalbutalsoataspirituallevel.Theinterdependencetowhichwe

mustpaytheclosestattentionisthatwhichexistsbetweenourselves

andtheplantworld.Oftendescribedas"thelungsoftheplanet”,the

woodsthatcovertheearthofferusthegiftofbreathableairby

releasingoxygen.Buttheircapacitytorenewtheairpollutedby

industryhaslongreacheditslimit.Ifwelacktheairnecessaryfora

healthylife,itisbecausewehavefilleditwithchemicalsand

undercuttheabilityofplantstoregenerateit.Asweknow,rapid

deforestationcombinedwiththemassiveburningoffossilfuelsisan

explosiverecipeforanirreversibledisaster.

Thefightovertheappropriationofresourceswillleadtheentire

planettohellunlesshumanslearntosharelife,bothwitheachother

andwithplants.Thistaskissimultaneouslyethicalandpolitical

becauseitcanbedischargedonlywheneachtakesituponherselfor

himselfandonlywhenitisaccomplishedtogetherwithothers.The

lessontaughtbyplantsisthatsharinglifeexpandsandenhancesthe

sphereoftheliving,whiledividinglifeintoso-callednaturalor

humanresourcesdiminishesit.Wemustcometoviewtheair,theplants

andourselvesasthecontributorstothepreservationoflifeand

growth,ratherthanawebofquantifiableobjectsorproductive

potentialitiesatourdisposal.Perhapsthenwewouldfinallybeginto

1ive,ratherthanbeingconcernedwithbaresurvival.

注意:此部分试题请在答题卡2上作答。

61.Whatdoestheauthorassumemightbetheprimaryreasonthatpeople

wouldstrugglewitheachother?

A)Togettheirshareofcleanair.B)Topursueacomfortablelife.

C)Togainahighersocialstatus.D)Toseekeconomicbenefits.

62.Whatdoestheauthoraccusewesternpoliticiansof?

A)Deprivingcommonpeopleoftherighttocleanair.

B)Givingprioritytotheoryratherthanpracticalaction.

C)Offeringpreferentialtreatmenttowealthycountries.

D)Failingtopasslawstocurbenvironmentalpollution.

63.Whatdoestheauthortrytodrawourclosestattentionto?

A)Themassiveburningoffossilfuels.

B)Ourrelationshiptotheplantworld.

C)Thecapacityofplantstorenewpollutedair.

D)Large-scaledeforestationacrosstheworld.

64.Howcanhumanbeingsaccomplishthegoalofprotectingtheplanet

accordingtotheauthor?

A)Byshowingrespectforplants.

B)Bypreservingallformsoflife.

C)Bytappingal1naturalresources.

D)Bypoolingtheireffortstogether.

65.Whatdoestheauthorsuggestwedoinordernotjusttosurvive?

A)Expandthesphereofliving.

B)Developnature'spotentials.

C)Sharelifewithnature.

D)Allocatetheresources.

PartVITranslation(30minutes)

Directions:Forthispart,youareallowed30minutestotranslatea

passagefromChineseintoEnglish.Youshouldwriteyouransweron

AnswerSheet2.

中国老式待客之道规定饭菜丰富多样,让客人吃不完。中国宴席上经典菜单

包括开席一套凉菜及其后热菜,例如肉类、鸡鸭、蔬菜等。大多数宴席上,全鱼

被认为是必不可少,除非已经上过各式海鲜。目前,中国人爱慕把西方特色菜和

老式中式菜肴融干一席,因此牛排匕桌也不少见,沙拉也已流行起来,尽管老式

上中国人一般不吃任何未经烹妊菜肴,宴席一般至少有一道汤,可以最先或最终

上桌,甜点和水果一般标志宴席结束。

-6-2

r11admitI'veneverquiteunderstoodtheobsession(难以破除成见)

surroundinggeneticallymodified(GM)crops.Toenvironmentalist

opponents,GMfoodsaresimplyevil,anunderstudied,possiblyharmful

toolusedbybigagriculturalbusinessestocontrolglobalseedmarkets

andcrushlocalfarmers.TheyarguethatGMfoodshaveneverdelivered

ontheirsupposedpromise,thatmoneyspentonGMcropswouldbebetter

channeledtoorganicfarmingandthatconsumersshouldbeprotected

withwarninglabelsonanyproductsthatcontaingeneticallymodified

ingredients.Tosupporters,GMcropsareakeypartoftheeffortto

sustainablyprovidefoodtomeetagrowingglobalpopulation.ButJiorc

thanthat,supportersseetheGMoppositionofmanyenvironmentalists

asfundamentallyanti-science,nodifferentthanthosewhoquestionthe

basicsofman-madeclimatechange.

Forbothsides,GMfoodsseemtoactasasymbol:you*repro-

agriculturalbusinessoranti-science.Butscienceisexactlywha:we

needmoreofwhenitcomestoGMfoods,whichiswhyIwashappytosee

NaturedevoteaspecialseriesofarticlestotheGMfoodcontroversy.

Theconclusion:whileGMcropshaven'tyetrealizedtheirinitial

promiseandhavebeendominatedbyagriculturalbusinesses,thereis

reasontocontinuetouseanddeveloptheirtohelpmeettheenormous

challengeofSustainablyfeedingagrowingplanet.

Thatdoesn'tmeanGMcropsareperfect,oraone-size-fits-al1

solutiontoglobalagricultureproblems.Butanythingthatcanincrease

farmingefficiency-theamountofcropswecanproduceperacreof

land-willbeextremelyuseful.GMcropscanandalmostcertainlywill

bepartofthatsuiteoftools,butsowilltraditionalplantbreeding,

improvedsoilandcropmanagement-andperhapsmostimportantofall,

betterstorageandtransportinfrastructure(基础设施),especiallyin

thedevelopingworld.(Itdoesn,tdomuchgoodforfarmersinplaces

likesub-SaharanAfricatoproducemorefoodiftheycan,tgetiLto

hungryconsumers.)I'dliketoseemorenon-industryresearchdoneon

GMcrops-notjustbecausewe'dworry

lessaboutbias,butalsobecauseseedcompanieslikeMonsantoand

Pioneershouldn,tbetheonlyentitiesworkingtoharnessgenetic

modification.I'dliketoseeGMresearchonlesscommercialcrops,

likecorn.Idon*tthinkit'svitaltolabelGMingredientsinfood,

butIalsowouldn'tbeagainstit-andindustrywouldbesmarttogo

alongwithlabeling,justasawayofremovingfearsaboutthe

technology.

Mostofall,though,Iwishatenthoftheenergythat*sspent

endlesslydebatingGMcropswasfocused

onthosemorepressingchallengesforglobalagriculture.Thereare

muchbiggerbattlestofight.

56.HowdoenvironmentalistopponentsviewGMfoodsaccordingtothe

passage?

A.Theywilleventuallyruinagricultureandtheenvironment.

B.Theyareusedbybigbusinessestomonopolizeagriculture.

C.Theyhaveprovedpotentiallyharmfultoconsumers1health.

D.Theyposeatremendousthreattocurrentfarmingpractice.

57.Whatdoestheauthorsayisvitaltosolvingthecontroversy

betweenthetwosidesofthedebate?

A.BreakingtheGMfoodmonopoly.

B.Morefriendlyexchangeofideas.

C.RegulatingGMfoodproduction.

D.MorescientificresearchonGMcrops.

58.WhatisthemainpointoftheNaturearticles?

A.FeedingthegrowingpopulationmakesitimperativetodevelopGM

crops.

B.PopularizingGMtechnologywillhelpittoliveuptoitsinitial

promises.

C.MeasuresshouldbetakentoensurethesafetyofGMfoods.

D.Bothsupportersandopponentsshouldmakecompromises.

59.Whatistheauthor*sviewonthesolutiontoagriculturalproblems?

A.IthastodependnoreandmoreonGMtechnology.

B.Itisvitaltothesustainabledevelopmentofhumansociety.

C.GMcropsshouldbealloweduntilbetteralternativesarefound.

D.Whateverisusefultoboostfarmingefficiencyshouldbeencouraged.

60.WhatdoestheauthorthinkoftheongoingdebatearoundGMcrops?

A.Itarisesoutofignoranceofandprejudiceagainstnewscience.

B.Itdistractsthepublicattentionfromotherkeyissuesoftheworld.

C.Effortsspentonitshouldbeturnedtomoreurgentissuesof

agriculture.

D.Neithersideislikelytogiveinuntilmoreconvincingevidenceis

found.

PassageTwo

Earlydecision-youapplytooneschool,andadmissionisbinding-

-seemslikeagreatchoicefornervousapplicants.Schoolsletina

higherpercentageofearly-decisionapplicants,whicharguablymeans

thatyouhaveabetterchanceofgettingin.Andifyoudo,you'redone

withthewholeagonizingprocessbyDecember.Butwhatmoststudents

andparentsdon,trealizeisthatschoolshavehiddenmotivesfor

offeringearlydecision.

Earlydecision,sinceit'sbinding,allowsschoolstofilltheir

classeswithqualifiedstudents;itallowsadmissionscommitteesto

selectthestudentsthatareinparticulardemandfortheircollegeand

knowthosestudentswillcome.Italsogivesschoolsahigheryield

rate,whichisoftenusedasoneofthewaystomeasurecollege

selectivityandpopularity.

Theproblemisthatthisprocesseffectivelyshortensthewindow

oftimestudentshavetomakeoneofthemostimportantdecisionsof

theirlivesuptothatpoint.Underregularadmissions,seniorshave

untilMay1tochoosewhichschooltoattend;earlydecision

effectivelystealssixmonthsfromthem,monthsthatcouldbeusedto

visitmoreschools,domoreresearch,speaktocurrentstudentsand

alumni(校友)andarguablymakeamoreinformeddecision.

Thereare,frankly,anastonishingnumberofexceptionalcolleges

inAmerica,andforanygivenstudent,thereareanumberofschools

thatareagreatfit.Whenstudentsbecometoofixated(专注)ona

particularschoolearlyintheadmissionsprocess,thatfixationcan

leadtoseveredisappointmentiftheydon,tgetinor,iftheydo,the

possibilitythattheyarenowboundtogotoaschoolthat,giventime

forfartherreflection,maynotactuallyberightforthem.

Insofarasearlydecisionoffersagenuineadmissionsedge,that

advantagegoeslargelytostudentswhoalreadyhavenumerousadvantages.

Thestudentswhouseearlydecisiontendtobethosewhohavereceived

higher-qualitycollegeguidance,usuallyaresultofcomingfromamore

privilegedbackground.Inthisregard,there'sanargumentagainst

earlydecision,asstudentsfromlower-incomefamiliesarefarless

likelytohavetheadmissionsknow-howtonavigatetheoftenconfusing

earlydeadlines.

Studentswhohavedonetheirresearchandareconfidentthat

there,soneschooltheywouldbethrilledtogetintoshould,underthe

currentsystem,probablyapplyunderearlydecision.Butforstudents

whohaven*tyetdoneenoughresearch,orwhoarestillconstantly

changingtheirmindsonfavoriteschools,theearly-decisionsystem

needlesslyandprematurelynarrowsthefieldofpossibilityjustata

timewhenstudentsshouldbeopeningthemselvestoawholerangeof

thrillingoptions.

注意:此部分试题请在答题卡2上作答。

61.Whatarestudentsobligedtodounderearlydecision?

A.Lookintoalotofschoolsbeforetheyapply.

B.Attendtheschooloncetheyareadmitted.

C.Thinktwicebeforetheyaccepttheoffer.

D.Consultthecurrentstudentsandalumni.

62.Whydoschoolsofferearlydecision?

A.Tomakesuretheygetqualifiedstudents.

B.Toavoidcompetitionwithothercolleges.

C.Toprovidemoreopportunitiesforapplicants.

D.Tosavestudentstheagonyofchoosingaschool.

63.Whatissaidtobetheproblemwithearlydecisionforstudents?

A.Itmakestheirapplicationprocessmorecomplicated.

B.Itplacestoohighademandontheirresearchability.

C.Itallowsthemlittletimetomakeinformeddecisions.

D.Itexertsmuchmorepsychologicalpressureonthem.

64.Whyaresomepeopleopposedtoearlydecision?

A.Itinterfereswithstudents'learninginhighschool.

B.Itisbiasedagainststudentsatordinaryhighschools.

C.Itcausesunnecessaryconfusionamongcollegeapplicants.

D.Itplacesstudentsfromlower-incomefamiliesatadisadvantage.

65.Whatdoestheauthoradvisecollegeapplicantstodo?

A.Refrainfromcompetingwithstudentsfromprivilegedfamilies.

B.Avoidchoosingearlydecisionunlesstheyarefullyprepared.

C.Findsufficientinformationabouttheirfavoriteschools.

D.Lookbeyondthefewsupposedlythril1ingoptions.

Directions:Forthispart,youareallowed30minutestotranslatea

passagefromChineseintoEnglish.Youshouldwriteyouransweron

AnswerSheet2.

是中国都市化(urbanization)进程中历史性时刻,其都市人口初次超过农

村人口。在未来里,估计约有3.5亿农村人口将移居到都市。如此规模都市发

展对都市交通来说既是挑战,也是机遇。中国政府一直倡导“以人为本''发展

理念,强调大家以公交而不是私V一$-出行。它还号召建设“资源节省和环境友

好型”社会。有了这个明确目的,中国都市就可以愈加好地计划其发展,并把大

量投资转向安全、清洁和经济型交通系统发展上。

-6-3

ThereportfromtheBureauofLaborStatisticswasjustasgloomyas

anticipated.UnemploymentinJanuaryjumpedtoa16一yearhighof7.6

percent,as598000jobswereslashedfromUSpayrollsintheworst

single-monthdeclinesinceDecember,1974.With1.8millioniobslost

inthelastthreemonths,thereisurgentdesiretoboosttheeconomy

asquicklyaspossible.ButWashingtonwoulddowelltotakeadeep

breathbeforereactingtothegrimnumbers.

Collectively,werelyontheunemploymentfiguresandother

statisticstoframeoursenseofreality.Theyareavitalpartofan

arrayofdatathatweusetoassessifwe'redoingwellordoing

badly,andthatinturnshapesgovernmentpoliciesandcorporate

budgetsandpersonalspendingdecisions.Theproblemisthatthe

statisticsaren?tanobjectivemeasureofreality;theyaresimplya

bestapproximation.Directionally,theycapturethetrends,butthe

ideathatweknowpreciselyhowmanyareunemployedisamyth.That

makesfindingasolutionallthemoredifficult.

First,thereisthewaythedataisassembled.Theofficial

unemploymentrateistheproductofatelephonesurveyofabout60000

homes.Thereisanothersurvey,sometimesreferredtoastheupayroll

survey,“thatassesses400000businessesbasedontheirreported

payrolls.Bothsurveyshaveproblems.Thepayrollsurveycaneasily

double-countsomeone:ifyouareonepersonwithtwojobs,youshowup

astwoworkers.Thepayrol1surveyalsodoesn,tcapturethenumberof

self,employed,andsosayslittleabouthowmanypeoplearegenerating

anindependentincome.

Thehouseholdsurveyhasalargerproblem.Whenasked

straightforward1y,peopletendtolieorshadethetruthwhenthe

subjectissex,moneyoremployment.Tfyougetacallandareaskedif

you'reemployed,andyousayyes,you'reemployed.IfyousaynO,

however,itmaysurpriseyoutolearnthat.Youareonlyunemployedif

you*vebeenactivelylookingforworkinthepastfourweeks;

otherwise,youare0marginallyattachedtothelaborforce”andnot

actuallyunemployed.

Hieurgetoquantifyisembeddedinoursociety.Buttheideathat

statisticianscanthencaptureanobjectiverealin-im,tjust

impossible.Italsoleadstoseriousmisjudgments.Democratsand

Repub1icanscanand、”Utakesidesonanumberofissues,butanore

crucialconcernisthatbotharebasingmajorpolicydecisionson

guesstimatesratherthanlookingatthevastwealthofrawdatawitha

criticaleyeandanopenmind.

注意:此部分试题请在答题卡2上作答。

56.Whatdowelearnfromthefirstparagraph?

A.USeconomicsituationisgoingfrombadtoworse.

B.Washingtonistakingdrasticmeasurestoprovidemorejobs.

C.USgovernmentisslashingmorejobsfromitspayrolls.

D.TherecenteconomiccrisishastakentheUSbysurprise.

57.、Whatdocstheauthorthinkoftheunemploymentfiguresandother

statistics?

A.Theyformasolidbasisforpolicymakin9.

B.Theyrepresentthecurrentsituation.

C.Theysignalfutureeconomictrend.

D.Theydonotfullyreflectthereality.

58.Oneproblemwiththepayrollsurveyisthat.

A.itdoesnotincludeallthebusinesses

B.itfailstocountintheself-employed

C.itmagnifiesthenumberofthejobless

D.itdoesnottreatal1companiesequally

59.Hiehouseholdsurveycanbefaultyinthat.

A.peopletendtoliewhentalkingonthephone

B.noteverybodyiswillingorreadytorespond

C.somepeoplewon*tprovidetruthfulinformation

D.thedefinitionofunemploymentistoobroad

60.Attheendofthepassage,theauthorsuggeststhat.

A.statisticiansimprovetheirdataassemblingmethods

B.decisionmakersviewthestatisticswithacriticaleye

C.politicianslistenmorebeforemakingpolicydecisions

D.DemocratsandRepublicanscooperateoncrucialissuesPassageTwo

Sheet2.

汉朝是中国历史上最关键朝代之一。汉朝统治期间有诸多明显成就。它最先

向其他文化敞开大门,对外贸易兴旺。汉朝开拓丝绸之路通向了中西亚乃至罗

马。各类艺术一派繁华,涌现了诸多文学、历史、哲学巨著。公元1中国第一部

字典编撰完毕,收入9000个字,提供释义并列举不一样样写法:英间,科技方

面也获得了很大进步,发明了纸张、水钟、日展(sundials)和测量地震仪器。汉

朝历经4,但统治者腐败最终导致了它灭亡。

注意:此部分试题请在答题卡2上作答。

Add

Sayingtheycannolongerignoretherisingpricesofhealthcare,some

ofthemostinfluentialmedicalgroupsinthenationarerecommending

thatdoctorsweighthecosts,notjusttheeffectivenessoftreatment,

astheymakedecisionsaboutpatientcare.

Theshift,littlenoticedoutsidethemedicalestablishmentbut

alreadycontroversialinsideit,suggeststhatdoctorsarestartingto

redefinetheirroles,frombeingconcernedexclusivelyaboutindividual

patientstoexertinginfluenceonhowhealthcaredollarsarespent.

Tnpracticalterms,thenewguidelinesbeingdevelopedcouldresult

indoctorschoosingonedrugoveranotherforcostreasonsoreven

decidingthataparticulartreatment-attheendoflife,forexample-is

tooexpensive.Intheextreme,somecriticshavesaidthatmaking

treatmentdecisionsbasedoncostisaformofrationing.

Traditionally,guidelineshaveheavilyinfluencedthepracticeof

medicine,andthelatestonesareexpectedtomakedoctorsmore

consciousoftheeconomicconsequencesoftheirdecisions,eventhough

there,snoobligationtofollowthem.Medicalsocietyguidelinesare

alsousedbyinsurancecompaniestohelpdeterminereimbursement(JR

销)policies.

Somedoctorsseeapotentialconflictintryingtobeboth

providersofpatientcareandfinancialoverseers.

Thereshouldbeforcesinsocietywhoshouldbeconcernedabout

thebudget,buttheyshouldn'tbefunctioningsimultaneouslyas

doctors,〃saidDr.MartinSamuelsataBostonhospital.Hesaiddoctors

riskedlosingthetrustofpatientsiftheytoldpatients,"I'mnot

goingtodowhatIthinkisbestforyoubecauseIthinkit'sbadfor

thehealthcarebudgetinMassachusetts.〃

Doctorscanfacesomegrimtrade-offs.Studieshaveshown,for

example,thattwodrugsareaboutequallyeffectiveintreatingmacalar

degeneration,aneyedisease.Butonecosts$50acloseandtheother

closeto$2,000.Medicarecouldsavehundredsofmillionsofdollarsa

yearifeveryoneusedthecheaperdrug.Avastin,insteadofthe

costlierone,Lucentis.

ButtheFoodandDrugAdministrationhasnoteipprovedAvastinfor

useintheeye,andusingitratherthanthealternative,Lucentis,

mightcarryanadditional,althoughslight,safetyrisk.Shoulddoctors

considerMedicare'sbudgetindecidingwhattouse?

thinkethical

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